P Praxis·MD
● Active Type 2 · Organization

Eagle Rock Physical Therapy Pllc

Clinic/Center·Idaho Falls, ID· NPI 1174712418 · Enumerated 2007 · 18 years on NPI
Eagle Rock Physical Therapy Pllc is 1 of 120 clinic/center organizations in Idaho.
NPI age
18 years
Enumerated 2007-10-23
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roberts
Physical Therapist
Last NPPES update
2021-04-19
Source: monthly bulk 2026-05

How this organization compares

Across 120 active clinic/center providers in Idaho.

NPI age
18 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-10Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1510 Elk Creek Dr
Idaho Falls, ID 834048322
📞 2085227627fax 2085246300
Mailing address
1510 Elk Creek Dr
Idaho Falls, ID 834048322
📞 2085227627fax 2085246300

Authorized official

Jacob Benjamin Roberts, DPT
Physical Therapist
📞 2085217336

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
    ID license #PT-2217 taxonomy 261QP2000X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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